Individual
JOLIE MWAJUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPR CERTIFIED
Contact information
Practice address
1273 N ASTER PL, BOISE, ID 83704-8022
(208) 570-2422
Mailing address
1273 N ASTER PL, BOISE, ID 83704-8022
(208) 570-2422
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/21/2022
Last updated
06/21/2022
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